KATHLEEN HERZOG

TIGARD, OR
NPI1205212388
Former NameKATHLEEN CHIRDON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H5492)
Enumeration Date2015-07-30
Last Update Date2015-07-30
Business Address
-- KATHLEEN HERZOG RDH
9000 SW DURHAM RD BUILDING 710
TIGARD, OR 97224-5539
Phone number: 503-359-4057
Mailing Address
-- KATHLEEN HERZOG RDH
PO BOX 568
CORNELIUS, OR 97113-0568
Phone number: 503-352-8657
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